Individual
DR. PETER JEFFREY ACKER
Active
Individual
DR. PETER JEFFREY ACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
028204
CT
208000000X
Pediatrics Physician
Primary
151842
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13-3046781
TAX ID
—
01
—
WP820
OXFORD PROVIDER ID
—
Enumeration date
10/26/2006
Last updated
12/26/2014
Update your record
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